Summary

H.R. 5713 would modify Medicare’s payments to Long-Term Care Hospitals (LTCHs) and would prohibit Medicare from paying for items or services furnished by certain newly enrolled providers in select areas of the country. CBO estimates that enacting the bill would, on net, increase direct spending by $25 million over the 2017-2021 period but would have no net effect over the 2017-2026 period.

Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. Enacting the bill would not affect revenues. CBO estimates that enacting the legislation would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2027.

H.R. 5713 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act and would impose no costs on state, local, or tribal governments.